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Update from EMPHO Jan 2006. New interoperable website Community Health Profiles. Community Health Profiles National Process. Consultation on indicators and format Calculation of data – each PHO doing several indicators for all LAs in England Air Quality and Teenage Pregnancy
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New interoperable website • Community Health Profiles
Community Health ProfilesNational Process • Consultation on indicators and format • Calculation of data – each PHO doing several indicators for all LAs in England • Air Quality and Teenage Pregnancy • Central collation of data, development of web and printed formats • Consultation and advisory group – Feb and March • Writing of reports – 45 LAs in E. Midlands • Production of reports – by end of March
Recent EMPHO products • reports on Health Inequalities in East Midlands Counties and Unitary Authorities Work in progress • new information resource packages: • alcohol • mental health and well-being • updated information resource packages: • sexual health • tobacco • diet (infant feeding)
Work in progress • SVG (“Instant Atlas”) delivery of indicators on EMPHO website • health equity audit • health impact assessment GIS special interest group EMPHO Work Programme 2006-07 • discussions with DsPH Jan-Feb • draft to Steering Board 3.2.06. • wider circulation for comment
EMPHO Staff News Recent APHO publications • Indications of Public Health in the English Regions: 4. Ethnicity and Health • APHO Technical Briefing No.1: Sources of Lifestyle Data Other • Regional Economic Strategy Evidence Base - Statistical portrait of the East Midlands in 2005 • Public Health Information & Intelligence Task Force • Audit Commission Area Profiles
Community Health ProfilesNational Process • Consultation on indicators and format • Calculation of data – each PHO doing several indicators for all LAs in England • Air Quality and Teenage Pregnancy • Central collation of data, development of web and printed formats • Consultation and advisory group – Feb and March • Writing of reports – 45 LAs in E. Midlands • Production of reports – by end of March
Smoking Prevalence- Estimated numbers and percentages of current smokers (aged 16-74) 2001. Adult Obesity Prevalence – Synthetic estimate (Mean BMI) Alcohol Alcohol/week (binge drinking) Diet/ nutrition Percentage of people consuming 5/day; or mean number portions plus variability
Education GCSE Performance: % 15 yr olds in schools maintained by LA gaining 5 or more GCSEs grades A*-C including English and maths Deprivation/ income/ employment Number and % people living in deprived areas (i.e. people living in areas in bottom quintile); Or, IMD Income Domain updated annually. Children living in poverty Number and percentage of children under 16 living in 'low income households' (Child Poverty Index
Number of unfit homes per 1000 dwellings Number of unfit homes per 1000 dwellings QoL % of all housing that is unfit Environment Combined Air Quality Indicator based on the addition of four indices (Nitrogen Dioxide, Particulates, Sulphur Dioxide, Benzene) - Number of days per year of air pollution Violent offences Violent offences recorded per 1000 population
Life expectancy Life expectancy at birth Circulatory disease mortality Number and Directly standardised death rate under 75 from circulatory disease (ICD9 390-459 adjusted, ICD10 I00-I99), males, females & persons. Cancer mortality Directly age and sex standardised mortality rate from all malignant neoplasms (ICD-10 C00-C97 equivalent to ICD-9 140-208) per 100,000 for under 75s. 3 year rolling average
Infant mortality The number of deaths in children less than one year old, per 1000 live births People killed or seriously injured on the roads Number of people killed or seriously injured in RTAs per 100,000 population Alcohol attributable admissions Estimate of hospital admissions from alcohol related conditions that are directly or indirectly attributable to alcohol consumption.
Smoking attributable mortality Av annual deaths due to smoking related causes (aged 35 & over) expressed as a no and crude rate per 100 000 population. 1995-2001 Created using a formula (Callum 1998) that links smoking satus with attributable risks for specific causes of death known to be linked to smoking. Rating of good health/ wellbeing Self assessment of each persons general health over the last year. No & % classifying their own health as “not good”. 2001 census
Mental health Prevalence - QMAS - Prevalence rate of patients on practice register of people with severe long-term mental health problems who require and have agreed to regular follow-up. Diabetes Prevalence – QMAS Number of patients who have a GP diagnosis of diabetes as a proportion of total list size DMF Teeth Mean number of decayed, missing or filled teeth in 5 year old children
Sexual health Gonorrhoea (LDP target is percentage of people aged 15 to 24 accepting Chlamydia screening) Teenage pregnancy Conception rates per 1000 female population aged 15-17. Older people helped to live at home Older people aged 65 or over helped to live at home (per 1,000 65s or over) Drug treatment Number of drug users accessing treatment as a percentage of the population aged 15-44
Smoking rates during pregnancy Proportion of women who continue to smoke throughout pregnancy (those who smoke at delivery as a proportion of total maternities) Obesity in children below 11 years To be defined HSE records mean BMI Nutrition Breast Feeding at 6 weeks Physical activity Percentage of adults doing 30 mins moderate exercise at least 5 days a week. Physical activity Percentage of schoolchildren, aged 5-16, who spend a minimum of two hours each week on high quality PE and school sport within and beyond the curriculum